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Extraction of RDC/TMD subscales from the symptom check list-90: does context alter respondent behavior?

机译:从症状检查表90中提取RDC / TMD分量表:上下文是否会改变受访者的行为?

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AIMS: To test whether extraction of the 2 subscales in the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) affected the subscale score reliability and whether scores from the RDC/TMD subscales are comparable to the same scales when the whole Symptom Check List-90 (SCL-90R) is administered. METHODS: The full SCL90-R and a modified version containing only the depression and somatization scales were administered in counterbalanced order to 103 subjects. As another test of context, a subset of participants completed the modified and full versions as part of a larger battery of instruments relevant to facial pain. Statistical analyses included internal reliability for item analysis and intraclass correlation (ICC) and Lin's concordance correlation coefficient (CCC) for total scale score reliability. RESULTS: Internal reliability was approximately 0.95 for depression and 0.87 for somatization, independent of test form. Total scale scores were reliable across test versions, with both ICC and CCC approximately 0.95 for depression and 0.91 for somatization. Permutation tests using the CCC indicated a mild influence on the somatization score but not the depression score due to order effects, but these effects were not significant when considering the 95% CIs based on resampling methods. CONCLUSION: Whether items from other subscales are present or not does not affect the internal reliability or parallel forms reliability of the total scores from either depression or somatization. Context of administration, via order of forms completion, does not alter total score or reliability of depressive items but may alter total scores for somatization.
机译:目的:测试《颞下颌疾病研究诊断标准》(RDC / TMD)中两个子量表的提取是否会影响子量表评分的可靠性,以及当整个症状检查表均出现时,RDC / TMD子量表的评分是否与相同量表相当。给予90(SCL-90R)。方法:完整的SCL90-R和仅包含抑郁症和躯体化量表的改良版以平衡方式给予103位受试者。作为另一种语境测试,一部分参与者完成了修改版和完整版,作为与面部疼痛相关的更大系列仪器的一部分。统计分析包括用于项目分析的内部可靠性和类别内相关性(ICC),以及用于总分评分可靠性的Lin一致性相关系数(CCC)。结果:独立于测试形式,抑郁的内部可靠性约为0.95,躯体化的内部可靠性约为0.87。在所有测试版本中,总分评分都是可靠的,抑郁症的ICC和CCC均为0.95,躯体化为0.91。使用CCC进行的置换测试表明,由于顺序效应,对体化评分的影响较小,而对抑郁评分的影响较小,但是当基于重采样方法考虑95%CI时,这些影响并不明显。结论:是否存在来自其他子量表的项目不会影响内部可靠性或平行形成抑郁症或躯体化总得分的可靠性。通过填写表格的顺序,管理的上下文不会改变总得分或抑郁项目的可靠性,但可能会改变躯体化的总得分。

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